MEDICARE: KAREN CREWS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1346670429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN CREWS

Provider Business Mailing Address
First Line	:	219 E RAILROAD AVE
Second Line	:
City	:	FORT MORGAN
State	:	CO
Zip	:	80701-3134
Country	:	US
Telephone Number	:	720-338-0925
Fax Number	:

Provider Business Practice Location Address
First Line	:	219 E RAILROAD AVE
Second Line	:
City	:	FORT MORGAN
State	:	CO
Zip	:	80701-3134
Country	:	US
Telephone Number	:	720-338-0925
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	11/26/2013

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Directions to “ KAREN CREWS ” Practice Location

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